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JIMA TELELE M.D.
NPI 1356465553
Internal Medicine in Mitchellville, MD

Active since March 16, 2007PECOS Enrolled
12164 CENTRAL AVE, SUITE 200, MITCHELLVILLE, MD 20721(301) 218-9223(240) 544-0120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jima Telele M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMA TELELE M.D. (NPI 1356465553) is an individual internal medicine provider in Mitchellville, Maryland, licensed in Maryland (D0046895) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356465553
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJIMA TELELECredential: M.D.
Location Address12164 CENTRAL AVE, SUITE 200Mitchellville, MD 20721-1944
Mailing Address3710 Riviera St, Suite 1dTemple Hills, MD 20748-1719 · (301) 423-4551 · Fax (301) 423-4553
Phone(301) 218-9223
Fax(240) 544-0120
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356465553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0046895
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12164 CENTRAL AVE, Mitchellville, MD 20721
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Other Identifiers 1

Medicare UPINH71547MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jima Telele M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jima Telele reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
17 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONYA R WORTHY- OKOLO P.T.
Physical Therapist
12164 CENTRAL AVE, SUITE 212
MITCHELLVILLE, MD 20721
Prince George's County (301) 333-2703
SONIA E MARTIN SAMUELS DDS
Dentist
12164 CENTRAL AVE, SUITE 218
MITCHELLVILLE, MD 20721
Prince George's County (301) 249-4404
SELECT PHYSICAL THERAPY HOLDINGS, INC.
Clinic/Center (Physical Therapy)
12164 CENTRAL AVE, SUITE 212
MITCHELLVILLE, MD 20721
Prince George's County (240) 929-4257
CAPITAL FAMILY DENTAL CENTER PC
Dentist
12164 CENTRAL AVE, SUITE 218
MITCHELLVILLE, MD 20721
Prince George's County (301) 249-4404
ISSA YUSUF MD PA
Internal Medicine
12164 CENTRAL AVE, SUITE 223
MITCHELLVILLE, MD 20721
Prince George's County (301) 249-5384
DR. CHERIE MONIQUE YOUNG M.D.
Internal Medicine
12164 CENTRAL AVE, SUITE 225
MITCHELLVILLE, MD 20721
Prince George's County (301) 249-0970
DR. WILLIE G. HALL JR. DDS
Dentist (General Practice)
12164 CENTRAL AVE, SUITE 221
MITCHELLVILLE, MD 20721
Prince George's County (301) 249-8885
TENDER TOUCH DENTAL CARE, LLC
Dentist
12164 CENTRAL AVE, SUITE 218
MITCHELLVILLE, MD 20721
Prince George's County (301) 249-4404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jima Telele's NPI number?

The NPI number for Jima Telele is 1356465553. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Jima Telele located?

Jima Telele practices at 12164 Central Ave Suite 200, Mitchellville, MD 20721. The listed phone number is (301) 218-9223.

What is Jima Telele's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jima Telele enrolled in Medicare?

Yes. Jima Telele is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jima Telele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jima Telele reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jima Telele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jima Telele was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.